Organization Active NPI

Shenandoah Rescue Squad Inc

  • Ambulance
  • Shenandoah, VA
National Provider Identifier
1740428960
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS AGENCY # 249 Issued in VA
Legal business name
SHENANDOAH RESCUE SQUAD INC
Practice address
544 4TH St
Shenandoah, VA 22849-1613
Phone
(877) 731-5464
Fax
(800) 234-1627
NPI assigned
Jan 26, 2009
Last updated
Apr 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David Huffman
Title
Captain
Phone
(877) 731-5464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS AGENCY # 249 VA Primary
Land Ambulance 3416L0300X EMS AGENCY # 249 VA

Addresses

Primary practice location

544 4TH St
Shenandoah, VA 22849-1613

Mailing address

544 4TH St
Shenandoah, VA 22849-1613
Phone (877) 731-5464

Other identifiers 3

IdentifierTypeStateIssuer
1740428960MedicaidVA
973882OtherVASOUTHERN HEALTH SERVICES
8364743OtherVAAMTHEM

National Provider Directory

National Provider Directory

Locations

544 4th St
Shenandoah, VA 22849
Phone (540) 652-3330

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239580800000",
    "number": "1740428960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 4TH ST",
            "city": "SHENANDOAH",
            "state": "VA",
            "postal_code": "228491613",
            "telephone_number": "877-731-5464",
            "fax_number": "800-234-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 4TH ST",
            "city": "SHENANDOAH",
            "state": "VA",
            "postal_code": "228491613",
            "telephone_number": "877-731-5464",
            "fax_number": "800-234-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-04-13",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "877-731-5464",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "EMS AGENCY # 249",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "EMS AGENCY # 249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740428960",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "973882",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMTHEM",
            "identifier": "8364743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.